Note :- Candidate Must reside in Michigan
Position :- Pharmacy Technician
Required
- Must have 2 year experience in Pharm prior authorization and medicare knowledge
- Two (2) years’ experience in retail or hospital Pharmacy required.
Pay Rate: $22.75
Location: 500 Renaissance Center Detroit Michigan 48243
Duration:- 6 Months
Shift:- Flexible
Will this position be required to work onsite for any reason at any time? Yes, the employee will need to be able to come onsite as needed, but will work primarily remote (less than 1x/week).
SUMMARY: Support providers (pharmacists and physicians) with Medicare Part D and/or Commercial pharmacy/ specialty drug benefits analysis, drug coverage inquiries and prior authorizations
ESSENTIAL DUTIES AND RESPONSIBILITIES
1. Answer telephones in an efficient and timely manner to lend appropriate assistance to providers
2. Triage prior authorization requests under the supervision of a Clinical Pharmacist.
3. Assists in maintaining pharmacy prior authorization criteria used in the adjudication of pharmacy/specialty claims.
4. Analyzing written inquiries which lends to entry and updating of pharmacy authorizations into the claims system.
5. Communicate coverage determination status to physicians and/or members and effectuate such decisions within the authorization tool.
6. Troubleshoot problems, inquiries, and new processing procedures for coverage determinations.
7. Assist with internal control systems and regulations compliance.
8. Perform other related duties as assigned.
EDUCATION AND/OR EXPERIENCE
- High School Graduate of GED equivalent required. Two (2) years of college preferred.
- Two (2) years’ experience in retail or hospital Pharmacy required.
- Pharmacy Technician Certification (PTCB) preferred
- Knowledge of prescription drug names, therapeutic classes and claims processing
- Experience with Medicare Part D prescription benefits may be preferred for some positions
Job Type: Contract
Benefits:
- 401(k)
- Dental insurance
- Employee discount
- Flexible schedule
- Referral program
- Vision insurance
- Work from home
Schedule:
- Choose your own hours
- Monday to Friday
Experience:
- Pharmacy technician: 3 years (Required)
- retail or hospital Pharmacy: 2 years (Required)
- Medicare Part D prescription: 1 year (Preferred)
License/Certification:
- Pharmacy Technician Certification (Preferred)
Work Location: Remote